Download - PEMERIKSAAN UROLOGI
![Page 1: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/1.jpg)
PEMERIKSAAN FISIKUROLOGI
![Page 2: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/2.jpg)
![Page 3: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/3.jpg)
ANAMNESIS1. Keluhan langsung • Frekuensi -->
– Produksi urin 1/2 - 1 cc/kgBB/jam (30-50)
– Kapasitas buli Kapasitas 300 cc
• Nokturia• Disuria• Stranguria
![Page 4: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/4.jpg)
ANAMNESIS
• Mengedan• Pancaran : diameter, jarak• Warna : hematuria, pieuria/nanah air teh• Kencing batu
![Page 5: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/5.jpg)
ANAMNESIS
2. Keluhan yang berhubungan • Kolik : hilang timbul, menjalar• Nyeri pinggang, Hipertensi• Penonjolan di pinggang
![Page 6: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/6.jpg)
LUTS (Lower urinary tract symptoms ):
1. Gejala obstruksi
2. Gejala iritasi
![Page 7: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/7.jpg)
Gejala obstruksi :
1. Mengedan2. Pancaran lemah, menetes3. Tidak lampias4. Hesitasi
![Page 8: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/8.jpg)
Gejala Iritasi :
1. Nokturia2. Disuria3. Inkontinensia : stress/urge4. Frekuen
![Page 9: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/9.jpg)
Pemeriksaan penunjang :
1. Laboratorium•Darah rutin : Hb, Ht, leko, LED
•Urinalisis : sedimen (leko, eri, bakteri, kristal, silinder)
![Page 10: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/10.jpg)
Pemeriksaan penunjang :
• Urin kultur, sitologi, TBC• Jumlah urin/24 jam, pH,BJ urin• Kimia darah : ureum, kreatinini CCT, kolesterol, asam urat, alk.P-ase, PSA (0-4 ng/ml)
![Page 11: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/11.jpg)
Pemeriksaan penunjang :
2. Uroflowmetri3. USG
• Transabdominal• Transrectal (TRUS)
![Page 12: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/12.jpg)
USG GINJAL
![Page 13: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/13.jpg)
Pemeriksaan penunjang :
4. Radiologi• BNO-IVP• RPG, APG• BNO/sistogram• Uretrogram• Bipolar sisto-uretrogram
![Page 14: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/14.jpg)
I V P
![Page 15: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/15.jpg)
Pemeriksaan penunjang :
5. Endoskopi• Uretroskopi• Sistoskopi• Ureteroskopi• Renoskopi• URS
![Page 16: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/16.jpg)
![Page 17: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/17.jpg)
Pemeriksaan penunjang :
6. Renogram7. CT Scan8. MRI
![Page 18: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/18.jpg)
Renogram & Sintigrafi
![Page 19: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/19.jpg)
3 Laporan :
1. Ginjal (Regio CVA)2. Buli-buli (Regio Suprapubik)3. Genitalia (Regio Genitalia
Eksterna)
![Page 20: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/20.jpg)
Costo Vertebrae AngleInspeksi :
Warna : N/sama dengan sekitarnyahematom, trauma, excoriasi
Bentuk : Benjolan/bulging
Palpasi : meraba ginjal +/-Ballotemen +/-nyeri tekan +/-
Perkusi: nyeri ketok +/-
![Page 21: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/21.jpg)
R. SuprapubikInspeksi : warna, benjolan, massa
Palpasi : konsistensi (kistik, kenyal,
padat)
½ pusat – symphisis/3 jari
bawah pusat
![Page 22: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/22.jpg)
R. Genetalia Eksterna
PENISInspeksi : sirkumsisi +/-
preputium
M.U.E (muara uretra ext.)
condiloma
radang
Palpasi : uretra ada batu
granulasi striktur
![Page 23: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/23.jpg)
R. Genitalia Eksterna
SKROTUMInspeksi : simetris
Palpasi : batas atas
testis +/-
nyeri tekan
Auskultasi : Doppler
![Page 24: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/24.jpg)
Pemeriksaan lain :PROSTATInspeksi : haemorhoid +/-
skin tag +/-
Palpasi :
1. Besar : pool atas teraba/-
latero lateral
sulcus medianus mendatar/-
1. Sakit : nyeri tekan +/-
2. Keras : modul +/-
![Page 25: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/25.jpg)
?
![Page 26: PEMERIKSAAN UROLOGI](https://reader031.vdocuments.pub/reader031/viewer/2022012305/557212cb497959fc0b90f327/html5/thumbnails/26.jpg)
TERIMA KASIH
Created by : “tepeng”